尿路透镜检查卧床患者的尿路结石病:它是可行的和可以接受的
Shigeki Koterazawa1, Toshifumi Takahashi1, Shinya Somiya1
1Department of Urology, Ijinkai Takeda General Hospital, 28-1 Moriminami-Cho, Ishida Fushimi-Ku, Kyoto, 601-1495, Japan.
World journal of urology
|April 29, 2024
概括
过尿道尿道透视 (URS) 对于患有结石的卧床患者是安全的,尽管可能出现发烧性尿路感染 (fUTI) 等并发症. 识别风险因素有助于为这个群体提供个性化的护理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 外科手术的安全性
背景情况:
- 卧床患者的尿病管理面临着独特的挑战.
- 过尿道尿道透视 (URS) 是对结石的常见手术.
- 评估弱势群体的安全和风险因素至关重要.
研究的目的:
- 评估通过尿道尿道透视 (URS) 对于卧床患者的尿病的安全性.
- 为了确定这个队列中术后并发症的患者特异性风险因素.
主要方法:
- 卧床患者与那些表现良好状态 (PS) 的患者进行URS的比较分析.
- 多变量逻辑回归用于确定术后发烧性尿路感染 (fUTI) 的预测因子.
主要成果:
- 包括1626名患者;276人躺在床上,1350人身体状况良好.
- 卧床患者年龄较大,女性更常见,并患有更多的并发病.
- 27.9%的卧床患者出现了术后并发症;最常见的是fUTI. FUTI的危险因素包括女性性别,糖尿病,脑血管疾病,合和更长的手术时间.
结论:
- 过尿道尿道透视 (URS) 是一个可行的和可接受的治疗尿病在卧床患者.
- 中等程度的术后并发症需要仔细考虑.
- 鉴定出风险因素,使得风险分层更好,并为患者提供量身定制的护理.
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